Ear, Nose & Throat Community
Why NOT cut scopolamine patch?
About This Community:

This patient support community is for discussions relating to ear, nose and throat issues, ear infections, nasal polyps, sore throats, and swollen glands.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Why NOT cut scopolamine patch?

Thanks to all for your excellent advice. It seems clear that the meclizine taper is the way to go to get off of the transdermal scopolamine patch and I will attempt it. In this scenario, from what I've read, Zofran does not appear to be an essential part of the taper.  I have also read elsewhere on the web (not only here) that lamictal together with magnesium sulfate is sometimes used to combat the withdrawal symptoms. I saw one person mentioned lamictal but rejected it as a possible solution.

Here is my question. Why does it not make sense to cut the patch as a tapering method? (For instance, let's say you remove an additional  quarter of the disc every third day when switching out patches until on the final switch you are left with only a quarter of a patch to wear for the last three days). One person posted strong advice from a pharmacist NOT to do this, and a physician in this forum agreed. (Pardon me for being sceptical of the pharmacist, but I was told by another pharmacist in no uncertain terms that the withdrawal syndrome does not exist.) The reason given was that the medication would release faster if the patch were whittled down. As the patch appears to be uniformly impregnated with the scopolamine, why wouldn't the delivery time simply be SHORTER IN DURATION, rather than MORE RAPID? Can anyone answer that question for me to help me rule this approach out for good?

Thanks. And btw, in my case, I believe my attacks of vertigo (independent of the TDS patch) are actually vestibular migraines, as I have had them all my life, in addition to the more classic migraines, which I have also had since I was a small child.

Thanks again from one who will shortly be swearing off the scopolamine patch forever!
Related Discussions
4 Comments Post a Comment
Blank
Avatar_n_tn
I tried it and I understand why one should not cut the TDS patch. The peak plasma concentration arrives much earlier, which is not helpful for weaning. Meclizine is clearly the way to go.
Blank
Avatar_n_tn
I have been on this patch for a month. Trying to get off it has been a nightmare. My drug store recommends covering a quarter of the patch for 3 days. Then cover half for 3 days, and so on till off completely.
I am a wreck worrying how this is going to work. Also has anyone tried Dramamine instead, since you can cut the pills in half.
Blank
Avatar_n_tn
Momma, the only way to go - regardless of what pharmacists and doctors might tell you - is the meclizine taper. When you take off your TDS patch for the last time, be prepared to be hit with heinous symptoms about 2-3 days later. You will feel dizzy and nauseated at the very least. Hole up, hang tight, DO THE MECLIZINE taper as described elsewhere in this forum, drink lots of fluids (gatorade worked for me), sleep a lot if you can (the meclizine should make you drowsy) and in three days you will be over the worst, feel quite functional and swear off the patch forever.

LMK if that works. It did for me and I tried and failed to get off the patch for months before that. Never cut the patch, and covering doesn't make sense either. The meclizine taper is the way to go.

I'm sorry you're suffering and I understand why you are a wreck. I didn't think anything would work for me either. But it did!

Jane (vertiginous)
Blank
Avatar_n_tn
Does anyone know if Bonnine is the same as MeclIzine. My husband bought 25 mg Bonnine, he asked the drugest for Meclizine and that is what he gave him. I am going on 22 hours off the patch and don't know when I should take it.
Also I kept the patch on for 5 days before I took it off. I am praying that might have weaned me off a little before going off completely.
Blank
Post a Comment
To
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Ear, Nose & Throat Community Resources
RSS Expert Activity
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
Aug 28 by Roger Gould, M.D.Blank
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank
Top Ear, Nose, Throat Answerers
612551_tn?1247839157
Blank
Jerry_NJ
NJ
209987_tn?1334790318
Blank
tschock
AB
6423135_tn?1381947504
Blank
zombie_pikacha